PHYSICIANS PREVENTION OF STD/HTLV III INFECTION

成人初级保健医生是主要的保健提供者 对于性生活活跃的成年人来说。他们是必不可少的 提供有关性病的预防建议和适当的建议 控制，长期以来一直是一个问题，随着 增加了感染艾滋病毒的风险。然而，这些医生是 被认为更缺乏预防知识而不是 治愈性传播疾病，包括艾滋病毒感染。至 要有效，初级保健医生可能需要新的知识 和技能。据推测，一个教育项目 关于当前艾滋病毒数据的书面和视听卡带材料 在医生的办公室里提供性病病史记录将是 更有效地增进知识和改变行为 而不仅仅是书面信息。但更有效的将是 教育材料和预定的办公室访问 假设性活跃患者，然后进行书面反馈。 该项目将与初级保健从业者一起完成， 内科医生和妇产科医生(N：3300) 华盛顿特区大都市区，艾滋病高发区。 性传播疾病/艾滋病毒需求评估将在教育之前进行 材料被开发出来。符合条件的医生将随机 配置为对照、低干预和高干预 并将在调查前后通过电话进行调查 教育干预。结果将由变化来衡量 在知识和所谓的行为方面，通过对 问卷项目，以及性病实验室检测的变化 在每次面谈前一周研究医生。数据在 华盛顿大都会报告的淋病和梅毒 在两次调查期间，区域和控制区将 也可以从公共卫生机构收集。 本项目的具体目标是：1)记录主要的 护理医生关于艾滋病毒的经验、知识和行为 感染和性病病史。2)发展教育事业 初级保健医生的材料。评估创新能力 提高医生教育水平的教育项目 初级保健医生的材料。跟随这项研究 将对教育材料进行批评、修订和制作 以便更广泛地传播。

Primary care physicians for adults are the major care providers for the sexually active adult population. They are essential in providing preventive advice and appropriate counsel about STD control, long a problem which has become more urgent with increasing risk of HIV infection. However, these physicians are believed to be more deficient in knowledge of prevention than of cure of sexually-transmitted diseases, including HIV infection. To be effective, primary care physicians likely need new knowledge and skills. It is hypothesized that an education program of written, and audio-visual cassette materials on current HIV data and STD history taking provided physicians in their offices will be more effective in enhancing knowledge and changing behavior than written information only. More effective yet will be educationaly materials and a scheduled office visit from a simulated sexually active patient followed by written feedback. The project will be done with primary care practitioners, internists, and obstetrics an gynecology physicians (N:3300) in the Washington, D.C. metropolitan area, a high AIDS incidence area. An STD/HIV needs assessment will be done before educational materials are developed. Eligible physicians will be randomly allocated into control, low intervention and high intervention groups and will be surveyed by telephone before and after the educational interventions. Outcome will be measured by changes in knowledge and purported behavior as measured by responses to questionnaire items, and changes in laboratory testing for STD of study physicians for the week prior to each interview. Data on reported gonorrhea and syphillis in the Washington metropolitan area and a control area during the time of the two surveys will also be collected from public health agencies. Specific aims of this project are: 1) Documentation of primary care physician experience, knowledge and behavior regarding HIV infections and STD history taking. 2) Development of educational materials for primary care physicians. Assessment of innovative educational programs for improving physicians' educational materials for primary care physicians. Following the study educational materials will be critiqued and revised and produced for wider dissemination.